Application for a Social Security Card - Asking for Replacement Card beyond allowable limits (Paper or SSNAP Intranet Modalities)

Application for a Social Security Card

OMB: 0960-0066

IC ID: 199949

Information Collection (IC) Details

View Information Collection (IC)

Application for a Social Security Card - Asking for Replacement Card beyond allowable limits (Paper or SSNAP Intranet Modalities)
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 422.103-422.110

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SS-5 Application for a Social Security Card SS-5.pdf Yes No Fillable Printable
Form and Instruction SS-5-FS Application for a Social Security Card (Foreign Service) SS-5-FS - Revised PA Statement Version (mock-up).pdf Yes No Fillable Printable
Other-Internal Screens SSNAP Screen Package.pdf Yes Yes Fillable Fileable Signable
Other-Pre-Screening Questions for Express Service Appointments Express Interviews Pre-Screening Questions.docx No   Printable Only

Income Security General Retirement and Disability

 

6,703 0
   
Individuals or Households
 
   90 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 6,703 0 0 0 0 6,703
Annual IC Time Burden (Hours) 16,087 0 0 0 0 16,087
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current SS-5 SS-5 - Current Version.pdf 07/31/2024
Current SS-5-FS SS-5-FS - Current Version.pdf 07/31/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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